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Transverse myelitis

M J Black, B Motaghedi, Y Robitaille

    The Laryngoscope
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Transverse myelitis is a rare complication of head and neck cancer radiotherapy, affecting approximately 2% of patients. This review highlights the clinical syndrome and discusses management strategies for otolaryngologists.

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    Area of Science:

    • Neurology
    • Oncology
    • Otolaryngology

    Background:

    • Transverse myelitis is a recognized complication of radiation therapy for head and neck cancers.
    • Otolaryngologists managing radiotherapy patients need awareness of this potential adverse event.
    • Recent ENT literature has inadequately addressed this complication.

    Observation:

    • A review of 120 head and neck cancer patients treated with radiation between 1970-1975 identified two cases of transverse myelitis.
    • This represents an approximate incidence of 2% for myelitis in this patient cohort.
    • The study aimed to increase awareness and understanding of this complication.

    Findings:

    • The clinical syndrome of transverse myelitis following radiotherapy is reviewed.
    • Treatment options and preventive measures for radiation-induced myelitis are discussed.

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  • A comprehensive literature survey on the topic is presented.

    • Implications:

    • Enhanced awareness among otolaryngologists can lead to earlier diagnosis and intervention.
    • Understanding the incidence and clinical features aids in patient counseling and risk assessment.
    • Further research into preventive strategies may reduce the occurrence of this debilitating complication.